| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $128.82 | $181.97 | $575.44 | |
Ambetter
| Professional | $107.15 | $131.83 | $154.88 | |
BCBS
| Professional | $91.20 | $117.49 | $223.87 | |
Cigna
| Professional | $107.15 | $131.83 | $234.42 | |
Medica
| Professional | $107.15 | $131.83 | $1,621.81 | |
United
| Professional | $104.71 | $125.89 | $177.83 |